Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 76

Member Details
Kimberly Niehans
Mem Expires: Tuesday, March 31, 2020
Mem ID: 846
Loan Details
PickUp: Monday, September 25, 2017
Return: Monday, October 9, 2017
Created: Tuesday, October 3, 2017

7 Specimens

Specimen Item Number Shelf
Seahorse ED-100-1965 31C
Human Skull ED-100-2036 12C
Sponges - Pacific Coral Reef ED-200-0543 41B
Bicolored Leaf-nosed Bat ED-100-2028 42B
Mountain Lion skull ED-100-0634 11D
Crystal Set ED-400-0001 Geo Shelf
Gopher Snake ED-100-0550 13D

I, as a member of the Nature to You Loan Program, accept full responsability for all materials described above, while in my possesion, I agree with and accept all pre-existing damage reports as noted on this form. I have received, reviewed, and agree to comply with the Loan Program's "Membership Policy".

Late fee: $2 per specimen, per day.

Signature: __________________________________

Released by: ________________________________

Returned: ___________________________________

Received by: ________________________________

Nature to You Loan
School Year Hours: 2:30-5:30 PM Monday-Friday | Summer Hours: 12:30-3:30 PM Wednesday | Phone: 619.255.0236 |